Advanced papillary thyroid carcinoma requiring reconstruction of the carotid artery and internal jugular vein: a case report

Abstract

Papillary thyroid carcinoma (PTC) usually progresses slowly and the survival rate is very high. The standard treatment for PTC is curative resection. We performed combined resection of the right carotid artery and bilateral internal jugular vein and vascular reconstruction for an advanced PTC case.
A 69-year-old woman was found to have bilateral vocal cord palsy because of thyroid malignancy at a previous clinic, and was referred to our hospital. We diagnosed PTC cT4bN1bM1 stage IVC. The primary lesion involved the right common carotid artery and right internal jugular vein. Left lymph node metastasis adhered to the left internal jugular vein. Total thyroidectomy combined with total laryngectomy bilateral neck dissection, right common carotid artery and bilateral internal jugular vein resection, and vascular reconstruction were performed. No central nervous system complications were observed.